Individual
JASON TRAVIS HIATT
Active
Individual
JASON TRAVIS HIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070015322
IL
2251X0800X
Orthopedic Physical Therapist
Primary
070-015322
IL
Other
Enumeration date
09/20/2006
Last updated
11/16/2017
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